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Facial paralysis

Mar 10, 2005 Viewed: 514

Alternative names
Paralysis of the face

Definition
Facial paralysis is the total loss of voluntary muscle movement of one side of the face.

Considerations
Facial paralysis in adults is often due to Bell’s palsy. This disorder (probably derived from a virus) usually affects one side of the face causing a drooping mouth, drooling, and excessive tearing from one eye. While the facial distortion usually improves over time, there may be some permanent deformity. Sometimes there is loss of taste on the affected side of the face. Sound may also be louder on the affected side.

In facial paralysis due to stroke, the eye on the affected side can be closed and the forehead can be wrinkled. This is not possible with Bell’s palsy. Other muscles on one side of the body may also be involved with a stroke.

What other symptoms are also present?
o Is there a facial droop?
o Is there drooling?
o Are there excessive tears from one eye?
o Are there headaches?
o Are there seizures?
o Are there any vision problems?
o Is there weakness or paralysis elsewhere in the body?

The physical examination will include a detailed neurological examination.

DIAGNOSTIC TESTS that may be performed include:

Blood studies such as a CBC, ESR, Lyme test

MRI of the head

CT scan of the head

Electromyography

Intervention:
Arrangements may be made for physical therapy, speech therapy, or occupational therapy, if appropriate.

If facial paralysis from Bell’s palsy persists for greater than 6 to 12 months, plastic surgery may be recommended to improve eye closure and facial appearance.

After seeing your health care provider:
You may want to add a diagnosis related to facial paralysis to your personal medical record.

Last revised: December 5, 2012by Potos A. Aagen, M.D.

Medical Encyclopedia

All ArmMed Media material is provided for information only and is neither advice nor a substitute for proper medical care. Consult a qualified healthcare professional who understands your particular history for individual concerns.

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